| NPI | 1831579622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA CLARK Owner 606-886-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KY 18D2095115) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |